Displaying 47351-47360 of 1611142 results.
ID:
47351
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
47352
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
47353
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
47354
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
47355
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
47356
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
47357
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
47358
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
47359
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
47360
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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