Displaying 139331-139340 of 1611142 results.
ID:
139331
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139332
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139333
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139334
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139335
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139336
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
ID:
139337
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
139338
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139339
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139340
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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