Displaying 141451-141460 of 1611142 results.
ID:
141451
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141452
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141453
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141454
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812421
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141455
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141456
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812419
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141457
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141458
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1494769
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141459
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141460
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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