Displaying 142661-142670 of 1611142 results.
ID:
142661
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142662
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142663
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
994008
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142664
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142665
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142666
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142667
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142668
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142669
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142670
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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