Displaying 141521-141530 of 1611142 results.
ID:
141521
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141522
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141523
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141524
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141525
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141526
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141527
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141528
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
889520
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
403
Qty Limit Days:
31
ID:
141529
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
141530
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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