Displaying 141371-141380 of 1611142 results.
ID:
141371
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141372
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141373
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141374
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141375
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141376
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141377
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141378
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141379
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141380
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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