Displaying 41711-41720 of 1611142 results.
ID:
41711
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41712
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41713
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41714
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
41715
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41716
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41717
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41718
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41719
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41720
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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