Displaying 141971-141980 of 1611142 results.
ID:
141971
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141972
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141973
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141974
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141975
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141976
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141977
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141978
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1423080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141979
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141980
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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