Displaying 142131-142140 of 1611142 results.
ID:
142131
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
142132
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
142133
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
142134
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
365
ID:
142135
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
365
ID:
142136
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
142137
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142138
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142139
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
365
ID:
142140
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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