Displaying 139441-139450 of 1611142 results.
ID:
139441
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
139442
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139443
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139444
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139445
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139446
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139447
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139448
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139449
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139450
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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