Displaying 141761-141770 of 1611142 results.
ID:
141761
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854140
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141762
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141763
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141764
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141765
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141766
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141767
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141768
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141769
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141770
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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