Displaying 45871-45880 of 1611142 results.
ID:
45871
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45872
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45873
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
45874
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
45875
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
45876
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
45877
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
45878
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
45879
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
45880
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
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