Displaying 142001-142010 of 1611142 results.
ID:
142001
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142002
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142003
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142004
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142005
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142006
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142007
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142008
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142009
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
252478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142010
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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