Displaying 153411-153420 of 1611142 results.
ID:
153411
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
52
Qty Limit Days:
31
ID:
153412
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153413
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153414
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
51
Qty Limit Days:
30
ID:
153415
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
153416
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
153417
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
153418
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
84
ID:
153419
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153420
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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