Displaying 144221-144230 of 1611142 results.
ID:
144221
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144222
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144223
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144224
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2475406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
144225
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144226
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144227
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144228
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144229
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
994010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144230
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
994007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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