Displaying 140781-140790 of 1611142 results.
ID:
140781
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140782
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140783
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140784
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140785
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140786
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140787
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140788
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140789
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140790
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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