Displaying 140571-140580 of 1611142 results.
ID:
140571
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140572
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
140573
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140574
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140575
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140576
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140577
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140578
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140579
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
140580
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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