Displaying 143841-143850 of 1611142 results.
ID:
143841
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143842
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143843
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143844
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143845
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143846
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143847
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143848
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143849
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143850
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
341
Qty Limit Days:
31
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