Displaying 139431-139440 of 1611142 results.
ID:
139431
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139432
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
139433
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
139434
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139435
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139436
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139437
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139438
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139439
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139440
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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