Displaying 140741-140750 of 1611142 results.
ID:
140741
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140742
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140743
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140744
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140745
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140746
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
140747
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
213557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140748
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140749
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140750
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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