Displaying 141281-141290 of 1611142 results.
ID:
141281
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141282
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141283
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141284
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141285
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
403
Qty Limit Days:
31
ID:
141286
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141287
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141288
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141289
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141290
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
745791
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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