Displaying 143601-143610 of 1611142 results.
ID:
143601
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143602
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
702169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143603
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
702055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143604
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143605
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143606
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143607
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
143608
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143609
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143610
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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