Displaying 140281-140290 of 1611142 results.
ID:
140281
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978757
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140282
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140283
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978745
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140284
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140285
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978747
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140286
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140287
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
978778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140288
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140289
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140290
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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