Displaying 59051-59060 of 1611142 results.
ID:
59051
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59052
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59053
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
59054
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59055
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59056
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59057
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59058
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59059
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
59060
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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