Displaying 154521-154530 of 1611142 results.
ID:
154521
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154522
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154523
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154524
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
485489
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154525
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154526
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154527
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
154528
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154529
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154530
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
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