Displaying 149511-149520 of 1611142 results.
ID:
149511
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149512
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149513
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149514
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149515
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149516
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149517
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149518
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149519
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149520
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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