Displaying 145191-145200 of 1611142 results.
ID:
145191
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145192
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145193
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145194
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145195
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145196
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145197
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145198
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145199
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145200
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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