Displaying 146091-146100 of 1611142 results.
ID:
146091
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146092
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146093
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146094
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146095
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146096
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146097
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146098
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146099
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146100
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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