Displaying 153971-153980 of 1611142 results.
ID:
153971
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
30
ID:
153972
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
153973
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153974
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153975
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153976
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153977
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
153978
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153979
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
153980
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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