Displaying 141071-141080 of 1611142 results.
ID:
141071
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141072
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141073
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141074
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
206
Qty Limit Days:
31
ID:
141075
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141076
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
138
Qty Limit Days:
31
ID:
141077
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
141078
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
141079
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
141080
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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