Displaying 149181-149190 of 1611142 results.
ID:
149181
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149182
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149183
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149184
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149185
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149186
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149187
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149188
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
149189
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149190
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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