Displaying 50361-50370 of 1611142 results.
ID:
50361
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
50362
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50363
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50364
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50365
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50366
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50367
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50368
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50369
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50370
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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