Displaying 51331-51340 of 1611142 results.
ID:
51331
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51332
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51333
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
51334
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
51335
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51336
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51337
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51338
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
51339
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51340
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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