Displaying 142381-142390 of 1611142 results.
ID:
142381
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899642
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142382
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899705
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142383
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142384
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142385
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142386
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142387
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142388
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142389
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142390
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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