Displaying 154611-154620 of 1611142 results.
ID:
154611
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154612
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154613
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154614
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154615
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154616
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650446
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154617
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154618
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154619
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
170
Qty Limit Days:
365
ID:
154620
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
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