Displaying 39291-39300 of 1611142 results.
ID:
39291
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
39292
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
39293
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39294
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39295
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39296
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39297
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
39298
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39299
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39300
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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