Displaying 143281-143290 of 1611142 results.
ID:
143281
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143282
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143283
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
143284
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143285
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143286
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143287
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143288
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143289
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143290
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721458
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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