Displaying 55111-55120 of 1611142 results.
ID:
55111
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55112
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55113
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55114
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55115
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55116
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55117
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55118
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55119
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
55120
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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