Displaying 50941-50950 of 1611142 results.
ID:
50941
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50942
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50943
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50944
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
50945
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50946
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50947
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50948
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50949
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
50950
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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