Displaying 50751-50760 of 1611142 results.
ID:
50751
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50752
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50753
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50754
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50755
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50756
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50757
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50758
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50759
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50760
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
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