Displaying 151871-151880 of 1611142 results.
ID:
151871
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151872
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
151873
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151874
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151875
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151876
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
151877
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151878
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151879
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151880
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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