Displaying 142201-142210 of 1611142 results.
ID:
142201
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142202
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142203
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142204
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142205
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142206
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142207
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142208
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142209
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142210
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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