Displaying 143951-143960 of 1611142 results.
ID:
143951
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143952
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143953
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
143954
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
753437
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
143955
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
753439
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
143956
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
753442
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
143957
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
753443
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
143958
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143959
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
143960
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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