Displaying 47131-47140 of 1611142 results.
ID:
47131
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
47132
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47133
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47134
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47135
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47136
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47137
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47138
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47139
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47140
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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