Displaying 153781-153790 of 1611142 results.
ID:
153781
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153782
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153783
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153784
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153785
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153786
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153787
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153788
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153789
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153790
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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