Displaying 154411-154420 of 1611142 results.
ID:
154411
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154412
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154413
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154414
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154415
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154416
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154417
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154418
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154419
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154420
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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