Displaying 142671-142680 of 1611142 results.
ID:
142671
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142672
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142673
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142674
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142675
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142676
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142677
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142678
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142679
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142680
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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