Displaying 143781-143790 of 1611142 results.
ID:
143781
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143782
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143783
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143784
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143785
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143786
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143787
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143788
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143789
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143790
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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