Displaying 142631-142640 of 1611142 results.
ID:
142631
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142632
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142633
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142634
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142635
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142636
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142637
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142638
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142639
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142640
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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