Displaying 149851-149860 of 1611142 results.
ID:
149851
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149852
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149853
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149854
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149855
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149856
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149857
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149858
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149859
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149860
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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