Displaying 143251-143260 of 1611142 results.
ID:
143251
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143252
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143253
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143254
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143255
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143256
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143257
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143258
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143259
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143260
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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