Displaying 143401-143410 of 1611142 results.
ID:
143401
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143402
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143403
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143404
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143405
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143406
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143407
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143408
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351254
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143409
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143410
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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