Displaying 141161-141170 of 1611142 results.
ID:
141161
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141162
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141163
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857677
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141164
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141165
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141166
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141167
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141168
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141169
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141170
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
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