Displaying 148911-148920 of 1611142 results.
ID:
148911
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148912
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148913
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148914
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148915
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148916
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148917
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148918
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148919
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148920
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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