Displaying 152541-152550 of 1611142 results.
ID:
152541
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152542
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152543
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
152544
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
152545
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
152546
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
152547
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152548
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152549
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152550
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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