Displaying 139891-139900 of 1611142 results.
ID:
139891
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139892
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139893
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139894
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139895
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139896
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1599841
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139897
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
139898
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139899
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139900
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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