Displaying 154471-154480 of 1611142 results.
ID:
154471
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154472
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
154473
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
154474
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
521
Qty Limit Days:
31
ID:
154475
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
261
Qty Limit Days:
31
ID:
154476
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154477
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
154478
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352119
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154479
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352120
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154480
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
352121
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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