Displaying 143811-143820 of 1611142 results.
ID:
143811
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143812
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143813
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143814
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143815
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143816
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143817
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143818
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143819
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
143820
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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