Displaying 152301-152310 of 1611142 results.
ID:
152301
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152302
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152303
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
152304
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
152305
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
152306
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
152307
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
152308
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152309
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152310
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
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