Displaying 54761-54770 of 1611142 results.
ID:
54761
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54762
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54763
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54764
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54765
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54766
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54767
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54768
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54769
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54770
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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