Displaying 143411-143420 of 1611142 results.
ID:
143411
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143412
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143413
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143414
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
143415
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143416
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
496
Qty Limit Days:
31
ID:
143417
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143418
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143419
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
143420
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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