Displaying 140861-140870 of 1611142 results.
ID:
140861
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140862
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140863
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140864
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140865
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140866
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140867
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140868
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140869
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140870
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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