Displaying 143151-143160 of 1611142 results.
ID:
143151
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143152
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143153
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143154
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143155
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143156
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143157
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143158
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143159
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143160
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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