Displaying 52151-52160 of 1611142 results.
ID:
52151
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
52152
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
52153
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52154
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52155
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52156
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52157
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52158
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
52159
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
52160
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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