Displaying 151521-151530 of 1611142 results.
ID:
151521
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151522
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
151523
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
28
ID:
151524
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151525
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151526
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151527
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151528
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151529
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151530
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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