Displaying 140701-140710 of 1611142 results.
ID:
140701
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140702
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140703
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140704
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140705
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140706
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140707
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140708
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
140709
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140710
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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