Displaying 49351-49360 of 1611142 results.
ID:
49351
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49352
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49353
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
49354
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
49355
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49356
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49357
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49358
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49359
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
49360
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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