Displaying 140481-140490 of 1611142 results.
ID:
140481
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140482
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140483
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140484
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140485
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140486
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140487
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140488
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140489
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140490
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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