Displaying 141051-141060 of 1611142 results.
ID:
141051
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
141052
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
141053
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141054
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141055
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141056
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141057
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141058
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141059
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141060
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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