Displaying 143921-143930 of 1611142 results.
ID:
143921
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
885131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143922
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143923
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1249617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
403
Qty Limit Days:
31
ID:
143924
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143925
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
31
ID:
143926
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143927
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143928
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013662
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143929
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143930
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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