Displaying 139451-139460 of 1611142 results.
ID:
139451
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139452
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139453
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139454
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139455
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139456
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139457
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139458
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139459
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139460
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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