Displaying 153251-153260 of 1611142 results.
ID:
153251
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153252
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
56
ID:
153253
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153254
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153255
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153256
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153257
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
153258
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
153259
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
153260
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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