Displaying 139551-139560 of 1611142 results.
ID:
139551
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139552
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139553
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139554
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139555
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139556
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139557
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139558
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139559
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139560
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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