Displaying 42271-42280 of 1611142 results.
ID:
42271
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
42272
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42273
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42274
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42275
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42276
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42277
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
42278
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
42279
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
42280
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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