Displaying 152091-152100 of 1611142 results.
ID:
152091
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152092
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
51
Qty Limit Days:
31
ID:
152093
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152094
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
894970
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152095
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152096
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152097
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152098
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152099
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152100
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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