Displaying 151381-151390 of 1611142 results.
ID:
151381
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151382
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
151383
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151384
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
151385
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151386
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
151387
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151388
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
151389
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404711
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151390
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
762660
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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