Displaying 145801-145810 of 1611142 results.
ID:
145801
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145802
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
794979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145803
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145804
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145805
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145806
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145807
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145808
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145809
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145810
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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