Displaying 59091-59100 of 1611142 results.
ID:
59091
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
59092
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
59093
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59094
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59095
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59096
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
59097
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59098
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59099
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59100
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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