Displaying 152611-152620 of 1611142 results.
ID:
152611
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152612
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152613
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
152614
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152615
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152616
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152617
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152618
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152619
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152620
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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