Displaying 143901-143910 of 1611142 results.
ID:
143901
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143902
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143903
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143904
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143905
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143906
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143907
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349462
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
143908
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143909
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143910
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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