Displaying 152861-152870 of 1611142 results.
ID:
152861
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1237070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
43
Qty Limit Days:
31
ID:
152862
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152863
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152864
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152865
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152866
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152867
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
ID:
152868
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
152869
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152870
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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