Displaying 58031-58040 of 1611142 results.
ID:
58031
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
58032
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58033
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58034
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
58035
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
58036
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
58037
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58038
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58039
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58040
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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