Displaying 153071-153080 of 1611142 results.
ID:
153071
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153072
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
365
ID:
153073
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153074
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
158
Qty Limit Days:
31
ID:
153075
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
153076
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153077
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153078
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153079
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153080
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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