Displaying 140771-140780 of 1611142 results.
ID:
140771
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1987646
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140772
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140773
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140774
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140775
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140776
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140777
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140778
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140779
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
140780
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
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