Displaying 141701-141710 of 1611142 results.
ID:
141701
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141702
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141703
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141704
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141705
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141706
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141707
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141708
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
799048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141709
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141710
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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