Displaying 139571-139580 of 1611142 results.
ID:
139571
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139572
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139573
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139574
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139575
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139576
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139577
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139578
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139579
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139580
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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