Displaying 152851-152860 of 1611142 results.
ID:
152851
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152852
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152853
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152854
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152855
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152856
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152857
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237055
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152858
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
152859
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
86
Qty Limit Days:
31
ID:
152860
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
57
Qty Limit Days:
31
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