Displaying 141891-141900 of 1611142 results.
ID:
141891
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
791
Qty Limit Days:
31
ID:
141892
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141893
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199030
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141894
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141895
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141896
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141897
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141898
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141899
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141900
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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