Displaying 141961-141970 of 1611142 results.
ID:
141961
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141962
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141963
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141964
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141965
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141966
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542994
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141967
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1541099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141968
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141969
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141970
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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