Displaying 45311-45320 of 1611142 results.
ID:
45311
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
45312
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
45313
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
45314
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
45315
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
45316
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45317
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45318
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
45319
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45320
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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