Displaying 139171-139180 of 1611142 results.
ID:
139171
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2054159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139172
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604350
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139173
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1792393
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139174
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604395
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139175
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1604352
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139176
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
139177
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139178
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139179
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139180
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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