Displaying 57841-57850 of 1611142 results.
ID:
57841
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57842
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57843
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57844
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57845
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442681
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57846
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57847
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57848
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101465
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57849
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57850
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
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