Displaying 143591-143600 of 1611142 results.
ID:
143591
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352119
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143592
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352120
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143593
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352121
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143594
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143595
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143596
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
143597
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143598
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143599
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143600
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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