Displaying 141171-141180 of 1611142 results.
ID:
141171
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
141172
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141173
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141174
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141175
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141176
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
141177
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141178
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141179
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141180
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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