Displaying 154141-154150 of 1611142 results.
ID:
154141
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154142
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154143
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154144
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154145
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154146
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154147
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154148
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154149
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154150
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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