Displaying 142371-142380 of 1611142 results.
ID:
142371
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142372
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
142373
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142374
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
142375
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
994226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2582
Qty Limit Days:
31
ID:
142376
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142377
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142378
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142379
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142380
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899607
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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