Displaying 142031-142040 of 1611142 results.
ID:
142031
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142032
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142033
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142034
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142035
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142036
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142037
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142038
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
365
ID:
142039
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142040
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
365
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