Displaying 142321-142330 of 1611142 results.
ID:
142321
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142322
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
ID:
142323
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142324
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142325
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142326
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142327
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
142328
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142329
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142330
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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