Displaying 140301-140310 of 1611142 results.
ID:
140301
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140302
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
106
Qty Limit Days:
365
ID:
140303
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
140304
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140305
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140306
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140307
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
140308
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140309
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140310
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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