Displaying 142681-142690 of 1611142 results.
ID:
142681
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142682
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2286281
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142683
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2286290
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142684
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2286285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142685
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
142686
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142687
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142688
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142689
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142690
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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