Displaying 138091-138100 of 1611142 results.
ID:
138091
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138092
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138093
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138094
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138095
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138096
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138097
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138098
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138099
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138100
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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