Displaying 42831-42840 of 1611142 results.
ID:
42831
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
42832
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
42833
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42834
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42835
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42836
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
42837
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42838
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42839
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
42840
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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