Displaying 140191-140200 of 1611142 results.
ID:
140191
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140192
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140193
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140194
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
140195
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
140196
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
140197
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140198
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140199
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140200
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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