Displaying 144061-144070 of 1611142 results.
ID:
144061
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
365
ID:
144062
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362178
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144063
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362182
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144064
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
144065
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
144066
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144067
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144068
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144069
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144070
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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