Displaying 142061-142070 of 1611142 results.
ID:
142061
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142062
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142063
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142064
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142065
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142066
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142067
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142068
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
142069
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142070
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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