Displaying 142211-142220 of 1611142 results.
ID:
142211
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142212
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142213
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142214
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142215
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142216
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142217
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142218
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142219
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142220
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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