Displaying 152831-152840 of 1611142 results.
ID:
152831
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152832
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152833
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152834
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
152835
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
152836
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152837
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152838
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152839
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152840
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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