Displaying 141411-141420 of 1611142 results.
ID:
141411
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141412
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141413
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141414
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141415
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141416
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141417
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141418
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141419
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141420
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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