Displaying 56981-56990 of 1611142 results.
ID:
56981
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56982
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56983
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56984
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56985
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56986
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56987
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56988
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56989
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
56990
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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