Displaying 142491-142500 of 1611142 results.
ID:
142491
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142492
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142493
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238153
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
142494
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142495
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142496
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142497
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142498
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142499
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359027
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142500
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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