Displaying 53041-53050 of 1611142 results.
ID:
53041
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53042
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53043
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53044
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
53045
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53046
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53047
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53048
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53049
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53050
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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