Displaying 142471-142480 of 1611142 results.
ID:
142471
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142472
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142473
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142474
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142475
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142476
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142477
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142478
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142479
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
967017
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142480
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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