Displaying 152361-152370 of 1611142 results.
ID:
152361
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152362
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152363
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152364
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152365
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152366
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152367
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152368
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152369
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152370
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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