Displaying 139191-139200 of 1611142 results.
ID:
139191
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139192
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139193
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139194
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139195
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
139196
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139197
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139198
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139199
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139200
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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