Displaying 154491-154500 of 1611142 results.
ID:
154491
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154492
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154493
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154494
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154495
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154496
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
154497
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
154498
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
154499
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154500
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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