Displaying 142861-142870 of 1611142 results.
ID:
142861
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593858
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142862
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854832
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142863
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854836
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142864
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142865
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854852
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142866
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854848
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142867
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854844
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
142868
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
142869
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
142870
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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