Displaying 139771-139780 of 1611142 results.
ID:
139771
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139772
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139773
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139774
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139775
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139776
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664440
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139777
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1664458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139778
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139779
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139780
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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