Displaying 50561-50570 of 1611142 results.
ID:
50561
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50562
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
50563
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
56
ID:
50564
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50565
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50566
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50567
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50568
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50569
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50570
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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