Displaying 143651-143660 of 1611142 results.
ID:
143651
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143652
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143653
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143654
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143655
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143656
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143657
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
143658
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143659
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143660
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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