Displaying 140541-140550 of 1611142 results.
ID:
140541
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140542
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140543
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140544
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140545
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140546
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140547
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140548
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140549
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
140550
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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