Displaying 143451-143460 of 1611142 results.
ID:
143451
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143452
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143453
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143454
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143455
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143456
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143457
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143458
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143459
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
180
ID:
143460
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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