Displaying 142191-142200 of 1611142 results.
ID:
142191
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142192
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142193
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142194
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142195
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142196
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142197
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142198
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142199
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142200
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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