Displaying 141751-141760 of 1611142 results.
ID:
141751
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1535451
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141752
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1535456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141753
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1535472
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141754
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141755
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197718
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141756
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
669081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141757
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197719
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141758
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312589
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
141759
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854142
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141760
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854144
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
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