Displaying 145661-145670 of 1611142 results.
ID:
145661
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145662
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145663
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145664
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145665
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145666
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145667
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
206078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145668
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145669
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
669081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145670
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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