Displaying 155001-155010 of 1611142 results.
ID:
155001
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
155002
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
311040
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155003
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155004
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155005
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
351297
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155006
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
847191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155007
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
155008
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
155009
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
155010
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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