Displaying 141311-141320 of 1611142 results.
ID:
141311
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141312
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141313
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141314
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141315
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141316
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141317
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141318
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141319
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141320
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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