Displaying 149411-149420 of 1611142 results.
ID:
149411
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149412
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149413
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149414
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149415
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149416
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149417
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149418
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149419
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149420
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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