Displaying 143211-143220 of 1611142 results.
ID:
143211
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143212
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143213
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143214
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143215
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143216
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143217
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143218
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143219
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143220
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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