Displaying 42531-42540 of 1611142 results.
ID:
42531
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
42532
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
42533
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
42534
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
42535
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
42536
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
42537
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
42538
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
42539
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
42540
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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