Displaying 141691-141700 of 1611142 results.
ID:
141691
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
141692
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
141693
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141694
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141695
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141696
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141697
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141698
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141699
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141700
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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