Displaying 141651-141660 of 1611142 results.
ID:
141651
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141652
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141653
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141654
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141655
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141656
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141657
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141658
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141659
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141660
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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