Displaying 142601-142610 of 1611142 results.
ID:
142601
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142602
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142603
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142604
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551886
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142605
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142606
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
142607
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597570
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142608
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1864414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142609
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142610
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666385
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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