Displaying 139461-139470 of 1611142 results.
ID:
139461
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139462
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139463
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139464
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139465
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139466
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139467
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139468
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139469
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139470
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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