Displaying 144091-144100 of 1611142 results.
ID:
144091
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144092
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144093
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144094
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144095
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144096
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946651
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144097
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144098
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144099
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144100
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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