Displaying 151551-151560 of 1611142 results.
ID:
151551
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151552
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
151553
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
151554
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
151555
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151556
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151557
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151558
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151559
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151560
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2800
Qty Limit Days:
31
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