Displaying 42251-42260 of 1611142 results.
ID:
42251
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487076
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
42252
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42253
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42254
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
312
Qty Limit Days:
30
ID:
42255
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42256
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42257
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
42258
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42259
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42260
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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