Displaying 143181-143190 of 1611142 results.
ID:
143181
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143182
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143183
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143184
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143185
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143186
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143187
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143188
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143189
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143190
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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