Displaying 140681-140690 of 1611142 results.
ID:
140681
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140682
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140683
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140684
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140685
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140686
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140687
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140688
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140689
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140690
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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