Displaying 144081-144090 of 1611142 results.
ID:
144081
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
808917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144082
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1941470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144083
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144084
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144085
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144086
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144087
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144088
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144089
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144090
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059266
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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