Displaying 154861-154870 of 1611142 results.
ID:
154861
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154862
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154863
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154864
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154865
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154866
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2107518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
154867
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154868
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154869
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154870
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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