Displaying 143881-143890 of 1611142 results.
ID:
143881
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143882
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143883
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143884
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
143885
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143886
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143887
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143888
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143889
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143890
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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