Displaying 40521-40530 of 1611142 results.
ID:
40521
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
40522
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40523
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40524
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40525
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40526
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40527
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
40528
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40529
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40530
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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