Displaying 142151-142160 of 1611142 results.
ID:
142151
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142152
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142153
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142154
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142155
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142156
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142157
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142158
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142159
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142160
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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