Displaying 151641-151650 of 1611142 results.
ID:
151641
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151642
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
106
Qty Limit Days:
365
ID:
151643
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
151644
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151645
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151646
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151647
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
151648
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151649
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151650
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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