Displaying 145041-145050 of 1611142 results.
ID:
145041
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
145042
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145043
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145044
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145045
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
728550
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
145046
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145047
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
145048
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
145049
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
145050
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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