Displaying 142951-142960 of 1611142 results.
ID:
142951
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142952
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142953
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142954
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142955
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142956
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
31
ID:
142957
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142958
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142959
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142960
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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