Displaying 141061-141070 of 1611142 results.
ID:
141061
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
403
Qty Limit Days:
31
ID:
141062
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141063
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141064
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141065
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141066
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141067
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141068
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141069
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141070
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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