Displaying 152071-152080 of 1611142 results.
ID:
152071
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
152072
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152073
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152074
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
152075
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
28
ID:
152076
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152077
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152078
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152079
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152080
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
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