Displaying 141631-141640 of 1611142 results.
ID:
141631
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141632
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141633
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141634
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141635
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141636
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141637
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141638
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141639
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
141640
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
310
Qty Limit Days:
31
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