Displaying 140731-140740 of 1611142 results.
ID:
140731
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140732
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140733
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140734
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140735
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140736
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140737
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
140738
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140739
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140740
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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