Displaying 141941-141950 of 1611142 results.
ID:
141941
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141942
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141943
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141944
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141945
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
365
ID:
141946
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141947
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
158
Qty Limit Days:
31
ID:
141948
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
141949
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141950
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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