Displaying 143701-143710 of 1611142 results.
ID:
143701
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143702
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143703
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143704
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143705
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143706
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143707
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143708
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143709
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143710
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349420
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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