Displaying 39441-39450 of 1611142 results.
ID:
39441
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39442
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39443
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39444
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39445
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39446
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39447
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
39448
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39449
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39450
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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