Displaying 152371-152380 of 1611142 results.
ID:
152371
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152372
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
217
Qty Limit Days:
31
ID:
152373
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152374
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152375
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152376
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152377
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152378
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152379
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152380
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
365
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