Displaying 139561-139570 of 1611142 results.
ID:
139561
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139562
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139563
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139564
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139565
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139566
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139567
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139568
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139569
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139570
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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