Displaying 149231-149240 of 1611142 results.
ID:
149231
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149232
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149233
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149234
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149235
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213263
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149236
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149237
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149238
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149239
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149240
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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