Displaying 154371-154380 of 1611142 results.
ID:
154371
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154372
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154373
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
154374
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
154375
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
28
ID:
154376
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154377
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154378
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154379
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154380
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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