Displaying 44611-44620 of 1611142 results.
ID:
44611
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44612
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
44613
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
44614
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44615
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
44616
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
44617
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
44618
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44619
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44620
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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