Displaying 49341-49350 of 1611142 results.
ID:
49341
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
49342
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
49343
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
49344
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
49345
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
49346
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
49347
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
49348
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
49349
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
49350
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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