Displaying 141621-141630 of 1611142 results.
ID:
141621
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141622
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141623
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141624
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141625
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141626
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141627
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141628
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141629
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141630
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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