Displaying 152551-152560 of 1611142 results.
ID:
152551
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152552
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152553
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152554
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152555
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152556
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152557
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152558
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
152559
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152560
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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