Displaying 43781-43790 of 1611142 results.
ID:
43781
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43782
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
43783
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
43784
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
43785
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
43786
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
43787
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
43788
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
43789
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43790
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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