Displaying 153761-153770 of 1611142 results.
ID:
153761
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153762
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153763
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153764
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153765
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153766
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153767
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
153768
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
153769
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
56
ID:
153770
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
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