Displaying 143001-143010 of 1611142 results.
ID:
143001
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143002
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143003
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143004
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
28
ID:
143005
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143006
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143007
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143008
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143009
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143010
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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