Displaying 141861-141870 of 1611142 results.
ID:
141861
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141862
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141863
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141864
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141865
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141866
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141867
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141868
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141869
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141870
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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