Displaying 143751-143760 of 1611142 results.
ID:
143751
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143752
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143753
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143754
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650446
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143755
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143756
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143757
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
365
ID:
143758
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
143759
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143760
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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