Displaying 139591-139600 of 1611142 results.
ID:
139591
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139592
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139593
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139594
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139595
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139596
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139597
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139598
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139599
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139600
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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