Displaying 42771-42780 of 1611142 results.
ID:
42771
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
42772
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
42773
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42774
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42775
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42776
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42777
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42778
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42779
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
42780
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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