Displaying 142111-142120 of 1611142 results.
ID:
142111
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142112
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142113
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142114
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142115
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142116
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142117
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142118
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142119
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142120
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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