Displaying 140141-140150 of 1611142 results.
ID:
140141
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140142
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140143
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140144
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140145
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
260285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140146
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
205826
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140147
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140148
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
31
ID:
140149
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140150
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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