Displaying 152061-152070 of 1611142 results.
ID:
152061
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152062
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152063
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152064
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152065
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152066
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152067
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152068
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152069
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152070
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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