Displaying 149001-149010 of 1611142 results.
ID:
149001
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149002
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149003
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149004
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149005
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149006
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149007
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149008
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149009
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149010
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013867
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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