Displaying 141951-141960 of 1611142 results.
ID:
141951
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141952
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141953
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141954
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141955
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141956
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
141957
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232202
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141958
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
141959
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141960
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
31
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