Displaying 142541-142550 of 1611142 results.
ID:
142541
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142542
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142543
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142544
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142545
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142546
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142547
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
142548
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
136
Qty Limit Days:
12
ID:
142549
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142550
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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