Displaying 139631-139640 of 1611142 results.
ID:
139631
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139632
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139633
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139634
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139635
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139636
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139637
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139638
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139639
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139640
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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