Displaying 142521-142530 of 1611142 results.
ID:
142521
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142522
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142523
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142524
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142525
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142526
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
142527
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142528
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
142529
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
142530
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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