Displaying 143521-143530 of 1611142 results.
ID:
143521
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143522
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143523
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143524
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143525
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143526
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143527
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143528
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143529
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143530
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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