Displaying 52951-52960 of 1611142 results.
ID:
52951
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
52952
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
52953
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52954
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52955
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52956
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52957
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
52958
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52959
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52960
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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