Displaying 141271-141280 of 1611142 results.
ID:
141271
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141272
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141273
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141274
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141275
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197653
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141276
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141277
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141278
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141279
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141280
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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