Displaying 40361-40370 of 1611142 results.
ID:
40361
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40362
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40363
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40364
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40365
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40366
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40367
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40368
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40369
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40370
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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