Displaying 152421-152430 of 1611142 results.
ID:
152421
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
152422
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152423
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152424
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152425
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152426
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152427
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152428
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152429
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152430
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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