Displaying 142461-142470 of 1611142 results.
ID:
142461
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142462
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142463
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142464
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142465
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370767
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142466
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142467
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142468
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142469
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142470
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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