Displaying 49551-49560 of 1611142 results.
ID:
49551
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
49552
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49553
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49554
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
49555
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
49556
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
49557
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
49558
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
49559
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
49560
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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