Displaying 142341-142350 of 1611142 results.
ID:
142341
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
142342
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
142343
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
142344
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142345
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
52
Qty Limit Days:
31
ID:
142346
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142347
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142348
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
51
Qty Limit Days:
30
ID:
142349
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
142350
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
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