Displaying 144151-144160 of 1611142 results.
ID:
144151
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144152
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056502
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144153
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144154
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056510
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144155
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855628
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144156
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2399650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144157
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2399654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144158
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2399658
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144159
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2399661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144160
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
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