Displaying 142431-142440 of 1611142 results.
ID:
142431
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142432
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142433
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142434
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142435
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142436
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142437
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
142438
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142439
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142440
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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