Displaying 142041-142050 of 1611142 results.
ID:
142041
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142042
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142043
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142044
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142045
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142046
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142047
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142048
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142049
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142050
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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