Displaying 142261-142270 of 1611142 results.
ID:
142261
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
248656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142262
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142263
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142264
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142265
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142266
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142267
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142268
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
833463
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142269
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142270
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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