Displaying 142561-142570 of 1611142 results.
ID:
142561
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142562
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142563
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142564
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
28
ID:
142565
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
28
ID:
142566
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142567
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142568
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142569
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142570
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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