Displaying 143851-143860 of 1611142 results.
ID:
143851
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
143852
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
341
Qty Limit Days:
31
ID:
143853
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
143854
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143855
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
143856
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
143857
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143858
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143859
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143860
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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