Displaying 153431-153440 of 1611142 results.
ID:
153431
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153432
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153433
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153434
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153435
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153436
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153437
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153438
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
153439
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153440
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
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