Displaying 154131-154140 of 1611142 results.
ID:
154131
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154132
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154133
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154134
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154135
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154136
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154137
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154138
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154139
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154140
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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