Displaying 153341-153350 of 1611142 results.
ID:
153341
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153342
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153343
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153344
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153345
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153346
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153347
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2391560
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
153348
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153349
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1088255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153350
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1088251
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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