Displaying 141031-141040 of 1611142 results.
ID:
141031
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141032
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141033
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141034
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141035
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141036
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
103467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141037
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206212
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141038
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141039
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
141040
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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