Displaying 52261-52270 of 1611142 results.
ID:
52261
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52262
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52263
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52264
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52265
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
52266
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
52267
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52268
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
52269
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
52270
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
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