Displaying 50421-50430 of 1611142 results.
ID:
50421
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
50422
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50423
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50424
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
50425
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50426
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
50427
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
50428
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50429
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50430
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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