Displaying 153831-153840 of 1611142 results.
ID:
153831
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153832
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
153833
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
153834
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153835
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153836
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
153837
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
153838
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
153839
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
153840
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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