Displaying 154881-154890 of 1611142 results.
ID:
154881
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154882
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
154883
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
154884
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
186
Qty Limit Days:
31
ID:
154885
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154886
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1537045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154887
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154888
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
154889
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
365
ID:
154890
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2362178
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
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