Displaying 39981-39990 of 1611142 results.
ID:
39981
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39982
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39983
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39984
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39985
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39986
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39987
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39988
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39989
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39990
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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