Displaying 48201-48210 of 1611142 results.
ID:
48201
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
48202
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
48203
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48204
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48205
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48206
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48207
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48208
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48209
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48210
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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