Displaying 143801-143810 of 1611142 results.
ID:
143801
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143802
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143803
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143804
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143805
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143806
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143807
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143808
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143809
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143810
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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