Displaying 140361-140370 of 1611142 results.
ID:
140361
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2371768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
140362
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140363
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140364
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140365
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140366
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
140367
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140368
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140369
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
140370
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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