Displaying 143421-143430 of 1611142 results.
ID:
143421
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143422
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143423
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
143424
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143425
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143426
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143427
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143428
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143429
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143430
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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