Displaying 46111-46120 of 1611142 results.
ID:
46111
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46112
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46113
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46114
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46115
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46116
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46117
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
46118
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
46119
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
46120
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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