Displaying 142971-142980 of 1611142 results.
ID:
142971
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142972
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142973
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
617322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142974
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142975
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142976
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142977
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142978
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142979
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
992432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142980
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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