Displaying 143911-143920 of 1611142 results.
ID:
143911
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143912
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143913
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143914
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
143915
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143916
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143917
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143918
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143919
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143920
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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