Displaying 144241-144250 of 1611142 results.
ID:
144241
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144242
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
144243
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144244
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144245
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144246
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144247
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144248
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144249
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144250
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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