Displaying 141681-141690 of 1611142 results.
ID:
141681
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
86
Qty Limit Days:
31
ID:
141682
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
57
Qty Limit Days:
31
ID:
141683
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
43
Qty Limit Days:
31
ID:
141684
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884526
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141685
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141686
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141687
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141688
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141689
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141690
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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