Displaying 153351-153360 of 1611142 results.
ID:
153351
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1088253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153352
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153353
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153354
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153355
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153356
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
153357
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153358
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153359
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
ID:
153360
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
279
Qty Limit Days:
31
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