Displaying 139611-139620 of 1611142 results.
ID:
139611
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139612
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139613
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139614
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139615
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139616
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139617
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
139618
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139619
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139620
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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