Displaying 141841-141850 of 1611142 results.
ID:
141841
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141842
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141843
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141844
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141845
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141846
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141847
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141848
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141849
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141850
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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