Displaying 153851-153860 of 1611142 results.
ID:
153851
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153852
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
153853
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
153854
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
153855
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
365
ID:
153856
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288412
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153857
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
74
Qty Limit Days:
365
ID:
153858
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1550720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153859
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
153860
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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