Displaying 153161-153170 of 1611142 results.
ID:
153161
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153162
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153163
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153164
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153165
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
153166
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153167
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153168
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153169
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
153170
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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