Displaying 141601-141610 of 1611142 results.
ID:
141601
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141602
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141603
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141604
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141605
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141606
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141607
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141608
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141609
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141610
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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