Displaying 51921-51930 of 1611142 results.
ID:
51921
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51922
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
51923
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51924
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51925
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51926
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51927
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51928
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51929
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
51930
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
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