Displaying 56551-56560 of 1611142 results.
ID:
56551
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56552
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56553
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56554
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56555
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56556
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56557
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56558
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56559
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56560
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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