Displaying 148971-148980 of 1611142 results.
ID:
148971
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148972
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148973
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148974
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148975
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148976
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148977
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
148978
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148979
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148980
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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