Displaying 140341-140350 of 1611142 results.
ID:
140341
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140342
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994395
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140343
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994389
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140344
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994392
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140345
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140346
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140347
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140348
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140349
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140350
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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