Displaying 141871-141880 of 1611142 results.
ID:
141871
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141872
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141873
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141874
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141875
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141876
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858116
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141877
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
141878
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141879
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141880
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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