Displaying 140271-140280 of 1611142 results.
ID:
140271
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
140272
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
140273
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
140274
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
140275
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
140276
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140277
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140278
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140279
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140280
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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