Displaying 142531-142540 of 1611142 results.
ID:
142531
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142532
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142533
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142534
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142535
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142536
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142537
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142538
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142539
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
142540
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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