Displaying 142731-142740 of 1611142 results.
ID:
142731
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142732
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142733
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142734
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142735
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142736
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142737
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142738
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142739
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142740
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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