Displaying 45371-45380 of 1611142 results.
ID:
45371
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
45372
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45373
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
45374
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
45375
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
45376
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
45377
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45378
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45379
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45380
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
45371453724537345374453754537645377453784537945380