Displaying 140511-140520 of 1611142 results.
ID:
140511
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140512
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140513
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140514
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140515
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140516
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140517
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140518
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140519
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140520
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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