Displaying 142761-142770 of 1611142 results.
ID:
142761
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142762
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142763
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142764
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142765
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142766
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142767
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142768
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142769
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142770
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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