Displaying 144001-144010 of 1611142 results.
ID:
144001
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144002
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144003
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144004
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144005
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
496
Qty Limit Days:
31
ID:
144006
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144007
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144008
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144009
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144010
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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