Displaying 142221-142230 of 1611142 results.
ID:
142221
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142222
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142223
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142224
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142225
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142226
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142227
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142228
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142229
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142230
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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