Displaying 142651-142660 of 1611142 results.
ID:
142651
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577080
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142652
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142653
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142654
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142655
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142656
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142657
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142658
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142659
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142660
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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