Displaying 57731-57740 of 1611142 results.
ID:
57731
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57732
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57733
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57734
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57735
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57736
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57737
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57738
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57739
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57740
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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