Displaying 154831-154840 of 1611142 results.
ID:
154831
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
154832
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154833
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154834
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154835
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154836
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154837
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
496
Qty Limit Days:
31
ID:
154838
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154839
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154840
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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