Displaying 153371-153380 of 1611142 results.
ID:
153371
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
365
ID:
153372
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153373
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153374
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5167
Qty Limit Days:
31
ID:
153375
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153376
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153377
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153378
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
153379
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153380
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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