Displaying 138051-138060 of 1611142 results.
ID:
138051
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138052
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138053
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138054
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138055
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138056
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138057
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138058
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138059
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138060
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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