Displaying 141561-141570 of 1611142 results.
ID:
141561
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141562
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141563
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141564
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141565
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141566
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141567
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141568
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141569
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141570
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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