Displaying 151671-151680 of 1611142 results.
ID:
151671
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151672
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151673
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151674
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151675
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151676
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151677
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151678
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994395
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151679
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994389
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151680
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994392
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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