Displaying 143981-143990 of 1611142 results.
ID:
143981
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143982
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
143983
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049558
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143984
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143985
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143986
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143987
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143988
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143989
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143990
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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