Displaying 145431-145440 of 1611142 results.
ID:
145431
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145432
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145433
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145434
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145435
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
145436
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
145437
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
145438
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
145439
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145440
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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