Displaying 56271-56280 of 1611142 results.
ID:
56271
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
857560
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56272
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56273
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56274
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56275
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56276
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56277
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56278
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56279
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56280
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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