Displaying 141581-141590 of 1611142 results.
ID:
141581
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141582
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141583
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141584
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141585
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141586
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141587
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141588
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141589
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141590
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859066
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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