Displaying 144121-144130 of 1611142 results.
ID:
144121
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144122
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059292
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144123
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059280
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144124
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144125
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144126
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144127
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144128
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144129
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144130
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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