Displaying 40421-40430 of 1611142 results.
ID:
40421
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40422
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40423
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40424
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40425
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40426
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40427
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40428
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40429
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
40430
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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