Displaying 142251-142260 of 1611142 results.
ID:
142251
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142252
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142253
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106997
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142254
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1660690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142255
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2397128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142256
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142257
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311681
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142258
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856377
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142259
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142260
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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