Displaying 56541-56550 of 1611142 results.
ID:
56541
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56542
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56543
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56544
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56545
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56546
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56547
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56548
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56549
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56550
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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