Displaying 141811-141820 of 1611142 results.
ID:
141811
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141812
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672908
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141813
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141814
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
672909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141815
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141816
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141817
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141818
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141819
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141820
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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