Displaying 139411-139420 of 1611142 results.
ID:
139411
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139412
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139413
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139414
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139415
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139416
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139417
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139418
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139419
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139420
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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