Displaying 153651-153660 of 1611142 results.
ID:
153651
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153652
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153653
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153654
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153655
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153656
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153657
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153658
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153659
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153660
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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