Displaying 153031-153040 of 1611142 results.
ID:
153031
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153032
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153033
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153034
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
153035
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153036
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153037
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153038
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153039
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199030
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153040
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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