Displaying 141431-141440 of 1611142 results.
ID:
141431
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141432
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
141433
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141434
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141435
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141436
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
141437
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141438
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141439
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141440
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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