Displaying 152321-152330 of 1611142 results.
ID:
152321
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152322
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152323
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152324
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152325
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152326
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
152327
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
152328
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
152329
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
206
Qty Limit Days:
31
ID:
152330
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
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