Displaying 143191-143200 of 1611142 results.
ID:
143191
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143192
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143193
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143194
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143195
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143196
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143197
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143198
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143199
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143200
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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