Displaying 139291-139300 of 1611142 results.
ID:
139291
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139292
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139293
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139294
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139295
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139296
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139297
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139298
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139299
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139300
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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