Displaying 56771-56780 of 1611142 results.
ID:
56771
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56772
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56773
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56774
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56775
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56776
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56777
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56778
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56779
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56780
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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