Displaying 149741-149750 of 1611142 results.
ID:
149741
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149742
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149743
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149744
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149745
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149746
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149747
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149748
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149749
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149750
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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