Displaying 152141-152150 of 1611142 results.
ID:
152141
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152142
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152143
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152144
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152145
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
56
ID:
152146
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
56
ID:
152147
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
152148
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
152149
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152150
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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