Displaying 41421-41430 of 1611142 results.
ID:
41421
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41422
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41423
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41424
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41425
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41426
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41427
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
41428
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
41429
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
41430
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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