Displaying 154531-154540 of 1611142 results.
ID:
154531
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154532
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154533
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154534
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
154535
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
154536
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154537
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154538
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154539
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154540
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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