Displaying 40671-40680 of 1611142 results.
ID:
40671
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
40672
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40673
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40674
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
40675
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40676
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40677
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40678
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40679
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40680
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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