Displaying 140081-140090 of 1611142 results.
ID:
140081
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140082
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140083
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140084
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140085
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140086
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140087
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140088
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140089
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140090
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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