Displaying 139351-139360 of 1611142 results.
ID:
139351
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139352
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139353
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139354
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139355
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139356
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139357
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139358
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139359
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139360
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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