Displaying 149521-149530 of 1611142 results.
ID:
149521
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149522
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149523
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149524
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149525
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149526
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149527
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149528
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149529
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149530
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
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