Displaying 143771-143780 of 1611142 results.
ID:
143771
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143772
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143773
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143774
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143775
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143776
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143777
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356074
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143778
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143779
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143780
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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