Displaying 143351-143360 of 1611142 results.
ID:
143351
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
143352
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
143353
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
143354
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143355
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143356
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143357
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368409
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143358
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368416
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143359
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368423
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143360
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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