Displaying 142571-142580 of 1611142 results.
ID:
142571
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142572
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142573
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142574
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1495316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142575
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142576
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2179635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142577
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142578
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
558
Qty Limit Days:
31
ID:
142579
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142580
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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