Displaying 138971-138980 of 1611142 results.
ID:
138971
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138972
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138973
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138974
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138975
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138976
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
138977
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138978
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138979
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
138980
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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