Displaying 56661-56670 of 1611142 results.
ID:
56661
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56662
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56663
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56664
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56665
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56666
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
25
ID:
56667
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56668
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56669
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56670
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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