Displaying 140911-140920 of 1611142 results.
ID:
140911
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140912
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140913
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140914
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140915
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140916
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140917
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140918
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856769
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140919
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140920
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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