Displaying 143201-143210 of 1611142 results.
ID:
143201
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
143202
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143203
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143204
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143205
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143206
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
143207
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143208
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143209
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143210
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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