Displaying 142091-142100 of 1611142 results.
ID:
142091
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142092
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142093
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142094
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142095
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142096
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
142097
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142098
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540241
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142099
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142100
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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