Displaying 41581-41590 of 1611142 results.
ID:
41581
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41582
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41583
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41584
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41585
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41586
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41587
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41588
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41589
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41590
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
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