Displaying 154271-154280 of 1611142 results.
ID:
154271
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668628
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
79
Qty Limit Days:
31
ID:
154272
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
668630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
31
ID:
154273
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154274
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154275
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154276
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154277
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
867381
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154278
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154279
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154280
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809513
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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