Displaying 154721-154730 of 1611142 results.
ID:
154721
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154722
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154723
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154724
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154725
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154726
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154727
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154728
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154729
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154730
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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