Displaying 142311-142320 of 1611142 results.
ID:
142311
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142312
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142313
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142314
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
142315
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142316
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142317
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142318
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142319
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142320
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
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