Displaying 139641-139650 of 1611142 results.
ID:
139641
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139642
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139643
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139644
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139645
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139646
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139647
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139648
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139649
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139650
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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