Displaying 140401-140410 of 1611142 results.
ID:
140401
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140402
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835909
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140403
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835911
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140404
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835899
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140405
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140406
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977440
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140407
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977431
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140408
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140409
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140410
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308972
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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