Displaying 153081-153090 of 1611142 results.
ID:
153081
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153082
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153083
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
153084
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153085
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
31
ID:
153086
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153087
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153088
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153089
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153090
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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