Displaying 140041-140050 of 1611142 results.
ID:
140041
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847252
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140042
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140043
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140044
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140045
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140046
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140047
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140048
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140049
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140050
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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