Displaying 143871-143880 of 1611142 results.
ID:
143871
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143872
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143873
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143874
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143875
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143876
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143877
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143878
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143879
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
143880
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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