Displaying 56761-56770 of 1611142 results.
ID:
56761
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56762
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56763
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56764
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56765
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56766
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56767
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56768
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56769
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56770
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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