Displaying 143141-143150 of 1611142 results.
ID:
143141
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143142
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143143
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143144
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143145
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143146
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143147
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
143148
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143149
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143150
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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