Displaying 141771-141780 of 1611142 results.
ID:
141771
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141772
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141773
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141774
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141775
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141776
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141777
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141778
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
141779
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
141780
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284205
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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