Displaying 45401-45410 of 1611142 results.
ID:
45401
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45402
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45403
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
84
ID:
45404
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45405
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45406
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722676
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45407
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45408
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45409
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941476
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45410
Formulary ID:
00021015
Formulary Version:
14
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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