Displaying 141551-141560 of 1611142 results.
ID:
141551
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141552
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141553
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141554
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141555
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141556
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141557
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141558
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141559
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141560
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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