Displaying 139951-139960 of 1611142 results.
ID:
139951
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139952
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139953
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
139954
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
139955
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
139956
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
139957
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
139958
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
139959
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
139960
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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