Displaying 151531-151540 of 1611142 results.
ID:
151531
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151532
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151533
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
151534
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
151535
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151536
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151537
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
151538
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151539
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151540
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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