Displaying 152411-152420 of 1611142 results.
ID:
152411
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152412
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152413
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152414
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152415
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152416
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
152417
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152418
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152419
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152420
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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