Displaying 144711-144720 of 1611142 results.
ID:
144711
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
144712
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
144713
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144714
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144715
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144716
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144717
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
359493
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
144718
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
359494
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
144719
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
144720
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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