Displaying 149831-149840 of 1611142 results.
ID:
149831
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149832
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149833
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149834
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149835
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149836
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149837
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149838
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149839
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149840
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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