Displaying 41471-41480 of 1611142 results.
ID:
41471
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41472
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41473
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41474
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41475
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41476
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41477
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41478
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41479
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41480
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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