Displaying 551-560 of 1611142 results.
ID:
551
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
552
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
553
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
554
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
555
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
556
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
557
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
558
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
559
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
560
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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