Displaying 140201-140210 of 1611142 results.
ID:
140201
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140202
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140203
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140204
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2800
Qty Limit Days:
31
ID:
140205
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1400
Qty Limit Days:
31
ID:
140206
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140207
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140208
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140209
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140210
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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