Displaying 141131-141140 of 1611142 results.
ID:
141131
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141132
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1603845
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141133
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141134
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996633
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141135
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
141136
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141137
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431977
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141138
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431982
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141139
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431987
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141140
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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