Displaying 152971-152980 of 1611142 results.
ID:
152971
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152972
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152973
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152974
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152975
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152976
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152977
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152978
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
620
Qty Limit Days:
31
ID:
152979
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
152980
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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