Displaying 56841-56850 of 1611142 results.
ID:
56841
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56842
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56843
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56844
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56845
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56846
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56847
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56848
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56849
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56850
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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