Displaying 148981-148990 of 1611142 results.
ID:
148981
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148982
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148983
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
148984
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148985
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148986
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148987
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148988
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148989
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148990
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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