Displaying 144011-144020 of 1611142 results.
ID:
144011
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144012
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144013
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144014
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197854
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144015
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144016
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144017
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2393593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
144018
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144019
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144020
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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