Displaying 152081-152090 of 1611142 results.
ID:
152081
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
152082
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152083
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152084
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152085
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152086
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152087
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152088
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152089
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892342
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152090
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892349
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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