Displaying 142141-142150 of 1611142 results.
ID:
142141
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142142
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
142143
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142144
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232585
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142145
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
142146
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142147
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142148
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142149
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142150
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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