Displaying 42431-42440 of 1611142 results.
ID:
42431
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42432
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
ID:
42433
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42434
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
42435
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
42436
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
42437
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
42438
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42439
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42440
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
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