Displaying 152531-152540 of 1611142 results.
ID:
152531
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
152532
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152533
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152534
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152535
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152536
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152537
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152538
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152539
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152540
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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