Displaying 140531-140540 of 1611142 results.
ID:
140531
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140532
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140533
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140534
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856467
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140535
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140536
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311668
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140537
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140538
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140539
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140540
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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