Displaying 141881-141890 of 1611142 results.
ID:
141881
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141882
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141883
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141884
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141885
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141886
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
141887
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141888
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141889
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141890
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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