Displaying 39841-39850 of 1611142 results.
ID:
39841
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39842
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39843
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39844
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
39845
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
39846
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
39847
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
39848
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
39849
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
39850
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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