Displaying 138841-138850 of 1611142 results.
ID:
138841
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
138842
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1370982
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138843
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138844
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
138845
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
138846
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138847
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138848
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138849
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138850
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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