Displaying 215141-215150 of 1611142 results.
ID:
215141
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215142
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215143
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215144
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
244967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215145
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309680
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215146
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215147
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1376336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215148
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
204874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215149
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313415
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215150
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006120
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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