Displaying 152261-152270 of 1611142 results.
ID:
152261
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152262
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
208332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152263
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152264
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152265
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152266
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152267
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152268
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
152269
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152270
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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