Displaying 139971-139980 of 1611142 results.
ID:
139971
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139972
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
525
Qty Limit Days:
30
ID:
139973
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139974
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284516
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139975
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
2284514
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139976
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139977
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139978
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139979
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
139980
Formulary ID:
00021057
Formulary Version:
16
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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