Displaying 154081-154090 of 1611142 results.
ID:
154081
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154082
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154083
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722124
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154084
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
722120
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154085
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154086
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154087
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154088
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154089
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
154090
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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