Displaying 143111-143120 of 1611142 results.
ID:
143111
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143112
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143113
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143114
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143115
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143116
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143117
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143118
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143119
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143120
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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