Displaying 142641-142650 of 1611142 results.
ID:
142641
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142642
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142643
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
994005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142644
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142645
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142646
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142647
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142648
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403841
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142649
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142650
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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