Displaying 141991-142000 of 1611142 results.
ID:
141991
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141992
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141993
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141994
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141995
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141996
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141997
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141998
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141999
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142000
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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