Displaying 141291-141300 of 1611142 results.
ID:
141291
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141292
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141293
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141294
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141295
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141296
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141297
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141298
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141299
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141300
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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