Displaying 142161-142170 of 1611142 results.
ID:
142161
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142162
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142163
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142164
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
142165
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142166
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142167
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142168
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
56
ID:
142169
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142170
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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