Displaying 142771-142780 of 1611142 results.
ID:
142771
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142772
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142773
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142774
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142775
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
142776
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
142777
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
56
ID:
142778
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
142779
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
142780
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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