Displaying 143331-143340 of 1611142 results.
ID:
143331
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668626
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
119
Qty Limit Days:
31
ID:
143332
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668628
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
79
Qty Limit Days:
31
ID:
143333
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
31
ID:
143334
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143335
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143336
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143337
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143338
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143339
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
867381
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143340
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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