Displaying 149841-149850 of 1611142 results.
ID:
149841
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149842
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149843
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149844
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149845
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
149846
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149847
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149848
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149849
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149850
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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