Displaying 143101-143110 of 1611142 results.
ID:
143101
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143102
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143103
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2260709
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143104
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143105
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143106
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143107
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143108
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143109
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143110
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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