Displaying 140331-140340 of 1611142 results.
ID:
140331
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140332
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
581645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140333
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140334
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140335
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140336
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140337
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140338
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140339
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140340
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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