Displaying 140651-140660 of 1611142 results.
ID:
140651
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140652
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140653
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140654
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140655
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140656
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140657
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140658
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140659
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140660
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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