Displaying 153741-153750 of 1611142 results.
ID:
153741
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
153742
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153743
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153744
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153745
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153746
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153747
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153748
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153749
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153750
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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