Displaying 142291-142300 of 1611142 results.
ID:
142291
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
142292
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
142293
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142294
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
142295
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
217
Qty Limit Days:
31
ID:
142296
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142297
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142298
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142299
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
365
ID:
142300
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
365
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