Displaying 143221-143230 of 1611142 results.
ID:
143221
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143222
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143223
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143224
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143225
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143226
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143227
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143228
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143229
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143230
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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