Displaying 139741-139750 of 1611142 results.
ID:
139741
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139742
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139743
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139744
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139745
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
139746
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139747
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139748
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139749
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139750
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
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