Displaying 40211-40220 of 1611142 results.
ID:
40211
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
40212
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
40213
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
40214
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40215
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
40216
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40217
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40218
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40219
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40220
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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