Displaying 149651-149660 of 1611142 results.
ID:
149651
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149652
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149653
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149654
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149655
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149656
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149657
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149658
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149659
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149660
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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