Displaying 154961-154970 of 1611142 results.
ID:
154961
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
154962
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154963
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154964
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154965
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154966
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2099323
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
154967
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206883
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154968
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2473107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154969
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
154970
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
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