Displaying 142241-142250 of 1611142 results.
ID:
142241
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142242
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142243
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142244
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142245
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142246
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
798061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142247
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142248
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2174818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
142249
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142250
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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