Displaying 140931-140940 of 1611142 results.
ID:
140931
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140932
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140933
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140934
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140935
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140936
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140937
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140938
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140939
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140940
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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