Displaying 142821-142830 of 1611142 results.
ID:
142821
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
208094
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142822
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142823
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1294621
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142824
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904882
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142825
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904874
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142826
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904878
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142827
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542999
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142828
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1432971
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142829
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142830
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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