Displaying 144741-144750 of 1611142 results.
ID:
144741
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144742
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144743
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144744
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144745
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144746
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144747
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5550
Qty Limit Days:
30
ID:
144748
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144749
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144750
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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