Displaying 139511-139520 of 1611142 results.
ID:
139511
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
139512
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139513
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139514
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139515
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139516
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
139517
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139518
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139519
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139520
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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