Displaying 153391-153400 of 1611142 results.
ID:
153391
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153392
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153393
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
153394
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153395
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153396
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153397
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
153398
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
153399
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
153400
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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