Displaying 149531-149540 of 1611142 results.
ID:
149531
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149532
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149533
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149534
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149535
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149536
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149537
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149538
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149539
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149540
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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