Displaying 141611-141620 of 1611142 results.
ID:
141611
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141612
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141613
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
28
ID:
141614
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141615
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141616
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141617
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141618
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141619
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141620
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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