Displaying 56051-56060 of 1611142 results.
ID:
56051
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56052
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56053
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56054
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56055
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56056
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56057
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56058
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
56059
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
56060
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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