Displaying 141901-141910 of 1611142 results.
ID:
141901
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141902
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
794979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141903
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141904
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141905
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141906
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141907
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141908
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141909
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141910
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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