Displaying 144031-144040 of 1611142 results.
ID:
144031
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144032
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144033
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144034
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144035
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144036
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144037
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
144038
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144039
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144040
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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