Displaying 52581-52590 of 1611142 results.
ID:
52581
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52582
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52583
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52584
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52585
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
52586
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
52587
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
52588
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
52589
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
52590
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
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