Displaying 142741-142750 of 1611142 results.
ID:
142741
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142742
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142743
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142744
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142745
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
142746
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
142747
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142748
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142749
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142750
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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