Displaying 154341-154350 of 1611142 results.
ID:
154341
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154342
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154343
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154344
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
154345
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154346
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154347
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154348
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154349
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154350
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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