Displaying 152621-152630 of 1611142 results.
ID:
152621
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
152622
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
152623
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152624
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
152625
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152626
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152627
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152628
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152629
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152630
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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