Displaying 153551-153560 of 1611142 results.
ID:
153551
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2122343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153552
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153553
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153554
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153555
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668364
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153556
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668365
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
119
Qty Limit Days:
31
ID:
153557
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668366
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
79
Qty Limit Days:
31
ID:
153558
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
31
ID:
153559
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153560
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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