Displaying 140551-140560 of 1611142 results.
ID:
140551
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140552
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140553
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140554
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140555
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140556
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140557
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140558
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
800915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140559
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
140560
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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