Displaying 142511-142520 of 1611142 results.
ID:
142511
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142512
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142513
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
142514
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142515
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142516
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668364
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142517
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668365
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
119
Qty Limit Days:
31
ID:
142518
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668366
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
79
Qty Limit Days:
31
ID:
142519
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
31
ID:
142520
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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