Displaying 153711-153720 of 1611142 results.
ID:
153711
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153712
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
153713
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
153714
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153715
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
153716
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153717
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
28
ID:
153718
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
153719
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
153720
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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