Displaying 140661-140670 of 1611142 results.
ID:
140661
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140662
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140663
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140664
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140665
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140666
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140667
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140668
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140669
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140670
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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