Displaying 142581-142590 of 1611142 results.
ID:
142581
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142582
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142583
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142584
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142585
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
142586
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
142587
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
142588
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1101339
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
142589
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482821
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
142590
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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