Displaying 151631-151640 of 1611142 results.
ID:
151631
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151632
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151633
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151634
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151635
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
151636
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151637
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151638
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307431
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
31
ID:
151639
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151640
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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