Displaying 46821-46830 of 1611142 results.
ID:
46821
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46822
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46823
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46824
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
46825
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46826
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46827
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46828
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46829
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46830
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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