Displaying 141081-141090 of 1611142 results.
ID:
141081
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141082
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861522
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
412
Qty Limit Days:
31
ID:
141083
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141084
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141085
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141086
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141087
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141088
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141089
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141090
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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