Displaying 145201-145210 of 1611142 results.
ID:
145201
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145202
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145203
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145204
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145205
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145206
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145207
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145208
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145209
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145210
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
762007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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