Displaying 139011-139020 of 1611142 results.
ID:
139011
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139012
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139013
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
139014
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
139015
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
139016
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139017
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139018
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139019
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139020
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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