Displaying 142351-142360 of 1611142 results.
ID:
142351
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
142352
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
84
ID:
142353
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142354
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142355
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142356
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142357
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142358
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142359
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
142360
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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