Displaying 154211-154220 of 1611142 results.
ID:
154211
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
365
ID:
154212
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154213
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154214
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154215
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1726639
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154216
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154217
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154218
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154219
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154220
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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