Displaying 140021-140030 of 1611142 results.
ID:
140021
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140022
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140023
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140024
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140025
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140026
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140027
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140028
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140029
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140030
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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