Displaying 149251-149260 of 1611142 results.
ID:
149251
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149252
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149253
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149254
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149255
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149256
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149257
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149258
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149259
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
149260
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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