Displaying 139081-139090 of 1611142 results.
ID:
139081
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139082
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139083
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139084
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139085
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139086
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139087
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139088
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139089
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139090
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831248
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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