Displaying 142611-142620 of 1611142 results.
ID:
142611
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142612
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142613
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142614
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142615
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441413
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142616
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747187
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142617
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441418
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142618
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142619
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1441424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142620
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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