Displaying 151931-151940 of 1611142 results.
ID:
151931
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
79
Qty Limit Days:
31
ID:
151932
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
31
ID:
151933
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
31
ID:
151934
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
31
ID:
151935
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151936
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151937
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151938
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151939
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
151940
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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