Displaying 143731-143740 of 1611142 results.
ID:
143731
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143732
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143733
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143734
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143735
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143736
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143737
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143738
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143739
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143740
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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