Displaying 44951-44960 of 1611142 results.
ID:
44951
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
44952
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44953
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44954
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44955
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44956
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44957
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44958
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44959
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
44960
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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