Displaying 149281-149290 of 1611142 results.
ID:
149281
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149282
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149283
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149284
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149285
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149286
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149287
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149288
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149289
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
149290
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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