Displaying 142901-142910 of 1611142 results.
ID:
142901
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142902
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142903
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142904
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142905
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142906
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142907
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142908
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142909
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142910
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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