Displaying 143461-143470 of 1611142 results.
ID:
143461
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143462
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143463
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143464
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143465
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143466
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143467
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143468
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
143469
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
143470
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
28
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