Displaying 143431-143440 of 1611142 results.
ID:
143431
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
143432
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143433
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143434
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
143435
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143436
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404476
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143437
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
3
ID:
143438
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
143439
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
31
ID:
143440
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
31
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