Displaying 55941-55950 of 1611142 results.
ID:
55941
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55942
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55943
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55944
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55945
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
55946
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55947
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
55948
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55949
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55950
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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