Displaying 154071-154080 of 1611142 results.
ID:
154071
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154072
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
365
ID:
154073
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154074
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154075
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154076
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154077
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154078
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154079
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154080
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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