Displaying 149201-149210 of 1611142 results.
ID:
149201
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149202
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149203
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149204
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149205
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149206
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149207
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149208
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149209
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149210
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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