Displaying 139881-139890 of 1611142 results.
ID:
139881
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139882
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139883
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139884
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139885
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139886
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139887
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139888
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139889
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139890
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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