Displaying 138541-138550 of 1611142 results.
ID:
138541
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138542
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
138543
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
138544
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
138545
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138546
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138547
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138548
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138549
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138550
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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