Displaying 153471-153480 of 1611142 results.
ID:
153471
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
153472
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153473
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153474
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153475
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153476
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153477
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153478
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
153479
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153480
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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