Displaying 142751-142760 of 1611142 results.
ID:
142751
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142752
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142753
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142754
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142755
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142756
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142757
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142758
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142759
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860510
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142760
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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