Displaying 38411-38420 of 1611142 results.
ID:
38411
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
866907
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38412
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38413
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
38414
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
38415
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
38416
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
38417
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
38418
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
38419
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38420
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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