Displaying 141491-141500 of 1611142 results.
ID:
141491
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141492
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
141493
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141494
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141495
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141496
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141497
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141498
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141499
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141500
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1370748
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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