Displaying 141741-141750 of 1611142 results.
ID:
141741
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141742
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141743
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141744
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141745
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
686402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141746
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141747
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141748
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1425339
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141749
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1426253
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141750
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1425337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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