Displaying 151771-151780 of 1611142 results.
ID:
151771
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151772
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151773
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151774
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151775
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
151776
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151777
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151778
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
151779
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
151780
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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