Displaying 142011-142020 of 1611142 results.
ID:
142011
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142012
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142013
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142014
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142015
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142016
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142017
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142018
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142019
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142020
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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