Displaying 142271-142280 of 1611142 results.
ID:
142271
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043748
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142272
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142273
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142274
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142275
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142276
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2391560
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
142277
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142278
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1088255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142279
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1088251
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142280
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1088253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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