Displaying 141301-141310 of 1611142 results.
ID:
141301
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141302
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141303
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141304
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141305
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141306
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141307
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
141308
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141309
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141310
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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