Displaying 59101-59110 of 1611142 results.
ID:
59101
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59102
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
59103
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
59104
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
59105
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
59106
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59107
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59108
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59109
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
59110
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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