Displaying 56471-56480 of 1611142 results.
ID:
56471
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
56472
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
56473
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
56474
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56475
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
56476
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56477
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56478
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56479
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56480
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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