Displaying 149761-149770 of 1611142 results.
ID:
149761
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
402252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149762
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
149763
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149764
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149765
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149766
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149767
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149768
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149769
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149770
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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