Displaying 140581-140590 of 1611142 results.
ID:
140581
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140582
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
140583
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
140584
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140585
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140586
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140587
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140588
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140589
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140590
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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