Displaying 152381-152390 of 1611142 results.
ID:
152381
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152382
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152383
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152384
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152385
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152386
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152387
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152388
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152389
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152390
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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