Displaying 141111-141120 of 1611142 results.
ID:
141111
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141112
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141113
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141114
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141115
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141116
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141117
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141118
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141119
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
217
Qty Limit Days:
31
ID:
141120
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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