Displaying 153911-153920 of 1611142 results.
ID:
153911
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153912
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153913
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153914
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153915
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153916
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153917
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153918
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
153919
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153920
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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