Displaying 143631-143640 of 1611142 results.
ID:
143631
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143632
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143633
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143634
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143635
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143636
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143637
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143638
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143639
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143640
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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