Displaying 154261-154270 of 1611142 results.
ID:
154261
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154262
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154263
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154264
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154265
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154266
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154267
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154268
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668622
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154269
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154270
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668626
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
119
Qty Limit Days:
31
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