Displaying 148931-148940 of 1611142 results.
ID:
148931
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148932
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148933
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148934
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148935
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148936
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148937
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148938
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148939
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148940
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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