Displaying 55411-55420 of 1611142 results.
ID:
55411
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
55412
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55413
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55414
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55415
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55416
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55417
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55418
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55419
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55420
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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