Displaying 54201-54210 of 1611142 results.
ID:
54201
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
54202
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
54203
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
54204
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54205
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544383
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54206
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54207
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54208
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544390
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54209
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54210
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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