Displaying 142991-143000 of 1611142 results.
ID:
142991
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142992
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142993
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142994
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142995
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142996
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142997
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142998
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142999
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143000
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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