Displaying 43791-43800 of 1611142 results.
ID:
43791
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43792
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43793
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
43794
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43795
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43796
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43797
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43798
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43799
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
43800
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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