Displaying 1051-1060 of 1611142 results.
ID:
1051
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
1052
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1053
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
1054
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
1055
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1056
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1057
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1058
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1059
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1060
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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