Displaying 154121-154130 of 1611142 results.
ID:
154121
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154122
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154123
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154124
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154125
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154126
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154127
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154128
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154129
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154130
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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