Displaying 141001-141010 of 1611142 results.
ID:
141001
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141002
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141003
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
208332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141004
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141005
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141006
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141007
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141008
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141009
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141010
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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