Displaying 148921-148930 of 1611142 results.
ID:
148921
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148922
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148923
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148924
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148925
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148926
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148927
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148928
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148929
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148930
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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