Displaying 142551-142560 of 1611142 results.
ID:
142551
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142552
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142553
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142554
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142555
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142556
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116351
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142557
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142558
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142559
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142560
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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