Displaying 151271-151280 of 1611142 results.
ID:
151271
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
151272
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
151273
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
151274
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151275
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151276
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
151277
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
151278
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
151279
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151280
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1249631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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