Displaying 143761-143770 of 1611142 results.
ID:
143761
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143762
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143763
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143764
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143765
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143766
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143767
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143768
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143769
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143770
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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