Displaying 154061-154070 of 1611142 results.
ID:
154061
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154062
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154063
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1663728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154064
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1242615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154065
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154066
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653792
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154067
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154068
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154069
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154070
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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