Displaying 141791-141800 of 1611142 results.
ID:
141791
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884522
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141792
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141793
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141794
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141795
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141796
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141797
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141798
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141799
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141800
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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