Displaying 150531-150540 of 1611142 results.
ID:
150531
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150532
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150533
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150534
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150535
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150536
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
150537
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150538
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150539
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150540
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054157
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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