Displaying 140381-140390 of 1611142 results.
ID:
140381
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140382
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140383
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140384
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140385
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140386
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
140387
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
140388
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140389
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140390
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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