Displaying 140981-140990 of 1611142 results.
ID:
140981
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140982
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140983
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140984
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140985
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140986
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140987
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140988
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140989
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298091
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140990
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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