Displaying 142231-142240 of 1611142 results.
ID:
142231
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142232
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142233
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142234
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142235
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142236
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142237
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142238
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142239
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142240
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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