Displaying 141571-141580 of 1611142 results.
ID:
141571
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141572
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141573
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141574
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141575
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141576
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141577
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141578
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141579
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141580
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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