Displaying 141661-141670 of 1611142 results.
ID:
141661
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141662
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141663
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141664
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141665
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
706872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141666
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141667
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141668
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141669
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141670
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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