Displaying 151561-151570 of 1611142 results.
ID:
151561
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1400
Qty Limit Days:
31
ID:
151562
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151563
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151564
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151565
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151566
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151567
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1550
Qty Limit Days:
31
ID:
151568
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4133
Qty Limit Days:
31
ID:
151569
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151570
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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