Displaying 142891-142900 of 1611142 results.
ID:
142891
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142892
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142893
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142894
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142895
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142896
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142897
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142898
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142899
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142900
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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