Displaying 140471-140480 of 1611142 results.
ID:
140471
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140472
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1112250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140473
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140474
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
140475
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
140476
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
140477
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
140478
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
140479
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536144
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
140480
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
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