Displaying 46971-46980 of 1611142 results.
ID:
46971
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
46972
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46973
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46974
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46975
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46976
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46977
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46978
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46979
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46980
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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