Displaying 148991-149000 of 1611142 results.
ID:
148991
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148992
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
148993
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148994
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148995
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148996
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148997
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148998
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148999
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149000
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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