Displaying 56961-56970 of 1611142 results.
ID:
56961
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56962
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56963
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56964
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56965
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56966
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56967
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56968
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
180
ID:
56969
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56970
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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