Displaying 152711-152720 of 1611142 results.
ID:
152711
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152712
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
152713
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152714
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152715
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152716
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152717
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152718
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152719
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152720
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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