Displaying 142691-142700 of 1611142 results.
ID:
142691
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142692
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142693
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142694
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142695
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731235
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142696
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142697
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142698
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
656137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142699
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
706958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142700
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
706960
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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