Displaying 140971-140980 of 1611142 results.
ID:
140971
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140972
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140973
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140974
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140975
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140976
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140977
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140978
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140979
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140980
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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