Displaying 141041-141050 of 1611142 results.
ID:
141041
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141042
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141043
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141044
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141045
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141046
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141047
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141048
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
141049
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
141050
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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