Displaying 139381-139390 of 1611142 results.
ID:
139381
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139382
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139383
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139384
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139385
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139386
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139387
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139388
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139389
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139390
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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