Displaying 143301-143310 of 1611142 results.
ID:
143301
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143302
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143303
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143304
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143305
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143306
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143307
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143308
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143309
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143310
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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