Displaying 143471-143480 of 1611142 results.
ID:
143471
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143472
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143473
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143474
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143475
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143476
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143477
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143478
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143479
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143480
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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