Displaying 143821-143830 of 1611142 results.
ID:
143821
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143822
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143823
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143824
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143825
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143826
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143827
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143828
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143829
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
143830
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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