Displaying 144231-144240 of 1611142 results.
ID:
144231
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144232
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144233
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144234
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144235
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144236
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144237
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144238
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144239
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144240
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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