Displaying 143041-143050 of 1611142 results.
ID:
143041
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143042
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143043
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143044
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143045
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143046
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143047
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
607295
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143048
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143049
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143050
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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