Displaying 140851-140860 of 1611142 results.
ID:
140851
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
56
ID:
140852
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
56
ID:
140853
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140854
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140855
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140856
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140857
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140858
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
140859
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
140860
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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