Displaying 141091-141100 of 1611142 results.
ID:
141091
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141092
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141093
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141094
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141095
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141096
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141097
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141098
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141099
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141100
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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