Displaying 143971-143980 of 1611142 results.
ID:
143971
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143972
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143973
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143974
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143975
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143976
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485423
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143977
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143978
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143979
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143980
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
365
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