Displaying 154991-155000 of 1611142 results.
ID:
154991
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154992
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
248
Qty Limit Days:
31
ID:
154993
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2282320
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
154994
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
154995
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
154996
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
154997
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
154998
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
154999
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
155000
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2265689
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
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