Displaying 143291-143300 of 1611142 results.
ID:
143291
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143292
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143293
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143294
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204509
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143295
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143296
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143297
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143298
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722921
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143299
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143300
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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