Displaying 142961-142970 of 1611142 results.
ID:
142961
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142962
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142963
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142964
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142965
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142966
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142967
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142968
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142969
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
142970
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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