Displaying 140561-140570 of 1611142 results.
ID:
140561
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
140562
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
140563
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
140564
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140565
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140566
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140567
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140568
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140569
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140570
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
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