Displaying 140251-140260 of 1611142 results.
ID:
140251
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140252
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140253
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140254
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140255
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140256
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
603978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140257
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140258
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213729
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140259
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140260
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206792
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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