Displaying 46441-46450 of 1611142 results.
ID:
46441
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46442
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46443
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46444
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46445
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
46446
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
46447
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
46448
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
46449
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46450
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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