Displaying 143361-143370 of 1611142 results.
ID:
143361
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143362
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143363
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368430
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143364
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368437
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143365
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368444
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143366
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368020
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143367
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143368
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143369
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143370
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
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