Displaying 142421-142430 of 1611142 results.
ID:
142421
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142422
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
142423
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142424
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
142425
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142426
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142427
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142428
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142429
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142430
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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