Displaying 141231-141240 of 1611142 results.
ID:
141231
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141232
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141233
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141234
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141235
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141236
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141237
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141238
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141239
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141240
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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