Displaying 140071-140080 of 1611142 results.
ID:
140071
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140072
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140073
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140074
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140075
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140076
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140077
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140078
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140079
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140080
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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