Displaying 53231-53240 of 1611142 results.
ID:
53231
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
53232
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
53233
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53234
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53235
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53236
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53237
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
53238
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53239
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53240
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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