Displaying 141471-141480 of 1611142 results.
ID:
141471
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141472
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013867
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141473
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141474
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141475
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141476
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141477
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141478
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141479
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141480
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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