Displaying 50451-50460 of 1611142 results.
ID:
50451
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
50452
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50453
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50454
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50455
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50456
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50457
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50458
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50459
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50460
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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