Displaying 143511-143520 of 1611142 results.
ID:
143511
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143512
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143513
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143514
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143515
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143516
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143517
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143518
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143519
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143520
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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