Displaying 144481-144490 of 1611142 results.
ID:
144481
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
144482
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144483
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144484
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144485
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144486
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144487
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144488
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144489
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
144490
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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