Displaying 153631-153640 of 1611142 results.
ID:
153631
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153632
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
153633
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597570
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153634
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1864414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153635
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153636
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666385
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153637
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153638
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153639
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153640
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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