Displaying 57031-57040 of 1611142 results.
ID:
57031
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
57032
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
57033
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57034
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57035
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57036
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
57037
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57038
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57039
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57040
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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