Displaying 151391-151400 of 1611142 results.
ID:
151391
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151392
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
151393
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151394
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151395
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151396
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151397
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151398
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151399
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151400
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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