Displaying 139141-139150 of 1611142 results.
ID:
139141
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139142
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139143
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139144
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139145
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139146
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139147
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139148
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139149
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139150
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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