Displaying 141531-141540 of 1611142 results.
ID:
141531
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
141532
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
141533
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141534
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141535
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141536
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141537
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
341
Qty Limit Days:
31
ID:
141538
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141539
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
403
Qty Limit Days:
31
ID:
141540
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
403
Qty Limit Days:
31
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