Displaying 143171-143180 of 1611142 results.
ID:
143171
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143172
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143173
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143174
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143175
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738805
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143176
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738807
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143177
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143178
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143179
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143180
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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