Displaying 143891-143900 of 1611142 results.
ID:
143891
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143892
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143893
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143894
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143895
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143896
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143897
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143898
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143899
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143900
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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