Displaying 143691-143700 of 1611142 results.
ID:
143691
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1540868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
31
ID:
143692
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1490667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143693
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143694
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143695
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143696
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
723526
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143697
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143698
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143699
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143700
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2046370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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