Displaying 39831-39840 of 1611142 results.
ID:
39831
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
39832
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
39833
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
39834
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39835
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39836
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39837
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39838
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39839
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39840
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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