Displaying 145421-145430 of 1611142 results.
ID:
145421
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145422
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
145423
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
145424
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
145425
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
145426
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
145427
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
145428
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
145429
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
145430
Formulary ID:
00021060
Formulary Version:
14
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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