Displaying 149241-149250 of 1611142 results.
ID:
149241
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149242
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149243
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988399
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149244
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149245
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149246
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149247
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149248
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149249
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149250
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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