Displaying 138381-138390 of 1611142 results.
ID:
138381
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138382
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138383
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138384
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
138385
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138386
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
138387
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
138388
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138389
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
402252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138390
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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