Displaying 153811-153820 of 1611142 results.
ID:
153811
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153812
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153813
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
153814
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
153815
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153816
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153817
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153818
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153819
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153820
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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