Displaying 153401-153410 of 1611142 results.
ID:
153401
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153402
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153403
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153404
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153405
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
153406
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
153407
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
153408
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
153409
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
153410
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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