Displaying 142701-142710 of 1611142 results.
ID:
142701
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142702
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142703
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142704
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142705
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142706
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142707
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
727542
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142708
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
727545
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142709
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142710
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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