Displaying 53331-53340 of 1611142 results.
ID:
53331
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53332
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53333
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53334
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53335
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53336
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53337
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53338
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53339
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53340
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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