Displaying 141361-141370 of 1611142 results.
ID:
141361
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859315
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
141362
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141363
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141364
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141365
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141366
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141367
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141368
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141369
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141370
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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