Displaying 141801-141810 of 1611142 results.
ID:
141801
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141802
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141803
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141804
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141805
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141806
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141807
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141808
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141809
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141810
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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