Displaying 143991-144000 of 1611142 results.
ID:
143991
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
143992
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143993
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143994
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143995
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143996
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143997
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143998
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143999
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
144000
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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