Displaying 152331-152340 of 1611142 results.
ID:
152331
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
138
Qty Limit Days:
31
ID:
152332
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
152333
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
152334
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
152335
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
152336
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152337
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152338
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152339
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152340
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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