Displaying 141191-141200 of 1611142 results.
ID:
141191
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141192
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141193
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905455
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141194
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966413
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141195
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141196
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141197
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141198
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141199
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141200
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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