Displaying 139651-139660 of 1611142 results.
ID:
139651
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139652
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139653
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139654
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139655
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139656
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139657
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
139658
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139659
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139660
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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