Displaying 143611-143620 of 1611142 results.
ID:
143611
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143612
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143613
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143614
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
143615
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
143616
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
143617
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143618
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143619
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143620
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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