Displaying 140991-141000 of 1611142 results.
ID:
140991
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606349
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140992
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140993
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140994
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140995
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140996
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284204
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
140997
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140998
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140999
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141000
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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