Displaying 140391-140400 of 1611142 results.
ID:
140391
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140392
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140393
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140394
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140395
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140396
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140397
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140398
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140399
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140400
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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