Displaying 39381-39390 of 1611142 results.
ID:
39381
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39382
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
39383
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39384
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39385
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39386
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39387
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39388
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39389
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39390
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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