Displaying 148941-148950 of 1611142 results.
ID:
148941
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148942
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148943
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148944
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148945
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148946
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148947
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148948
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
148949
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
148950
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
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