Displaying 144021-144030 of 1611142 results.
ID:
144021
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144022
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144023
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144024
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144025
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144026
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144027
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144028
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144029
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144030
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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