Displaying 154871-154880 of 1611142 results.
ID:
154871
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154872
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154873
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2383561
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154874
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154875
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380617
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154876
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154877
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154878
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154879
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154880
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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