Displaying 142831-142840 of 1611142 results.
ID:
142831
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142832
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142833
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142834
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142835
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142836
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142837
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142838
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
142839
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
142840
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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