Displaying 140961-140970 of 1611142 results.
ID:
140961
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140962
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140963
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
790489
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140964
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140965
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140966
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140967
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140968
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140969
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140970
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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