Displaying 43361-43370 of 1611142 results.
ID:
43361
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43362
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43363
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
43364
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43365
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43366
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43367
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43368
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43369
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43370
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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