Displaying 143711-143720 of 1611142 results.
ID:
143711
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
143712
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
143713
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143714
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143715
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143716
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143717
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143718
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143719
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
616402
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143720
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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