Displaying 152701-152710 of 1611142 results.
ID:
152701
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152702
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
152703
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152704
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
152705
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152706
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152707
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152708
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152709
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152710
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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