Displaying 140131-140140 of 1611142 results.
ID:
140131
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140132
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140133
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140134
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140135
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140136
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140137
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140138
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140139
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140140
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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