Displaying 143381-143390 of 1611142 results.
ID:
143381
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
143382
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143383
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143384
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143385
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143386
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143387
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143388
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143389
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143390
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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