Displaying 141671-141680 of 1611142 results.
ID:
141671
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141672
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437280
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141673
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1436245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141674
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141675
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437290
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141676
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141677
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141678
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141679
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237055
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
141680
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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