Displaying 152271-152280 of 1611142 results.
ID:
152271
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152272
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152273
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152274
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152275
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
152276
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152277
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152278
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152279
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152280
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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