Displaying 144971-144980 of 1611142 results.
ID:
144971
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
144972
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
144973
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144974
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144975
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144976
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144977
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144978
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144979
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144980
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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