Displaying 145911-145920 of 1611142 results.
ID:
145911
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145912
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145913
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145914
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145915
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145916
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145917
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
145918
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145919
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145920
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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