Displaying 52381-52390 of 1611142 results.
ID:
52381
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
52382
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
52383
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
52384
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
52385
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
52386
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
52387
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52388
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
52389
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52390
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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