Displaying 153461-153470 of 1611142 results.
ID:
153461
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153462
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
153463
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153464
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
153465
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153466
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
153467
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
153468
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
153469
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153470
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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