Displaying 140061-140070 of 1611142 results.
ID:
140061
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
140062
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
140063
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
140064
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140065
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140066
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140067
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
74
Qty Limit Days:
31
ID:
140068
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140069
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140070
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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