Displaying 143581-143590 of 1611142 results.
ID:
143581
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2377348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143582
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2377350
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143583
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2377352
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143584
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143585
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
143586
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
143587
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
521
Qty Limit Days:
31
ID:
143588
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
261
Qty Limit Days:
31
ID:
143589
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143590
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
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