Displaying 42181-42190 of 1611142 results.
ID:
42181
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
42182
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42183
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
42184
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
42185
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
42186
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
42187
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
42188
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
42189
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42190
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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