Displaying 143091-143100 of 1611142 results.
ID:
143091
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143092
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143093
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143094
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143095
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143096
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143097
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143098
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143099
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143100
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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