Displaying 154351-154360 of 1611142 results.
ID:
154351
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
3
ID:
154352
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154353
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154354
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154355
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154356
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154357
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154358
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154359
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154360
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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