Displaying 153421-153430 of 1611142 results.
ID:
153421
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153422
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153423
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153424
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153425
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
153426
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153427
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153428
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
153429
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
153430
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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