Displaying 139841-139850 of 1611142 results.
ID:
139841
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
139842
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139843
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139844
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139845
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139846
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139847
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
139848
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139849
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139850
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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