Displaying 152191-152200 of 1611142 results.
ID:
152191
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
152192
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152193
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152194
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152195
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152196
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152197
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152198
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152199
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152200
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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