Displaying 143791-143800 of 1611142 results.
ID:
143791
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143792
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
143793
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143794
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143795
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143796
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143797
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
143798
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143799
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143800
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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