Displaying 143621-143630 of 1611142 results.
ID:
143621
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143622
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143623
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143624
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143625
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143626
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143627
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143628
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143629
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143630
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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