Displaying 141851-141860 of 1611142 results.
ID:
141851
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141852
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141853
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141854
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141855
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141856
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141857
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141858
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141859
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141860
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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