Displaying 50071-50080 of 1611142 results.
ID:
50071
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50072
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50073
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50074
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50075
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50076
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50077
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50078
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50079
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50080
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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