Displaying 153051-153060 of 1611142 results.
ID:
153051
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153052
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153053
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153054
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153055
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153056
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153057
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
153058
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
153059
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
153060
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
31
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