Displaying 55841-55850 of 1611142 results.
ID:
55841
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55842
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55843
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55844
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
55845
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55846
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55847
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55848
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
55849
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
55850
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
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