Displaying 142071-142080 of 1611142 results.
ID:
142071
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142072
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
142073
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142074
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142075
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368392
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142076
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142077
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368385
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142078
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142079
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142080
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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