Displaying 142981-142990 of 1611142 results.
ID:
142981
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142982
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831215
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142983
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142984
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142985
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142986
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142987
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142988
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142989
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142990
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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