Displaying 140761-140770 of 1611142 results.
ID:
140761
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140762
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
140763
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
140764
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140765
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140766
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
140767
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
793872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140768
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140769
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
28
ID:
140770
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
830876
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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