Displaying 141911-141920 of 1611142 results.
ID:
141911
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141912
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141913
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141914
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141915
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
141916
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806200
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141917
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141918
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806202
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141919
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806206
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141920
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806210
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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