Displaying 152561-152570 of 1611142 results.
ID:
152561
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602120
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152562
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152563
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152564
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152565
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1602115
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152566
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
152567
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152568
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152569
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152570
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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