Displaying 144211-144220 of 1611142 results.
ID:
144211
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265689
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
144212
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
144213
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311040
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144214
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144215
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144216
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351297
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144217
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144218
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
144219
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
144220
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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