Displaying 154441-154450 of 1611142 results.
ID:
154441
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154442
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154443
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154444
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154445
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154446
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154447
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154448
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154449
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154450
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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