Displaying 39671-39680 of 1611142 results.
ID:
39671
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39672
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39673
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39674
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39675
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39676
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39677
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39678
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39679
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39680
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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