Displaying 53591-53600 of 1611142 results.
ID:
53591
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
53592
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53593
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53594
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53595
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53596
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53597
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53598
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53599
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53600
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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