Displaying 144161-144170 of 1611142 results.
ID:
144161
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
56
ID:
144162
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
144163
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2198966
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144164
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197890
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144165
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
144166
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144167
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144168
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144169
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144170
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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