Displaying 140181-140190 of 1611142 results.
ID:
140181
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140182
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140183
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140184
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140185
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140186
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140187
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140188
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140189
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1804746
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140190
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1804750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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