Displaying 152131-152140 of 1611142 results.
ID:
152131
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152132
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152133
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152134
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152135
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152136
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152137
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
152138
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152139
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152140
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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