Displaying 151581-151590 of 1611142 results.
ID:
151581
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151582
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
151583
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151584
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151585
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151586
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
151587
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2066
Qty Limit Days:
31
ID:
151588
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1033
Qty Limit Days:
31
ID:
151589
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151590
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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