Displaying 139421-139430 of 1611142 results.
ID:
139421
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139422
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139423
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139424
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139425
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139426
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139427
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139428
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139429
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139430
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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