Displaying 141-150 of 1611142 results.
ID:
141
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
905164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
146
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
147
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
148
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
149
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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