Displaying 144581-144590 of 1611142 results.
ID:
144581
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
144582
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
144583
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
144584
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
144585
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
144586
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536144
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
144587
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
144588
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144589
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144590
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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